So gsap cll fr mcrstl ins at HCA HOUSTON MEDICAL CENTER
1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$512.28 with United vs $9,503.79 with Oscar — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | MGMCD | $512.28 | — |
| Aetna Better Health | MGMCD | $542.42 | — |
| Molina Healthcare | STARKIDS | $552.46 | — |
| Molina Healthcare | STARPLUS | $552.46 | — |
| Molina Healthcare | STAR | $552.46 | — |
| Molina Healthcare | CHIP | $552.46 | — |
| Humana | MCD | $627.80 | — |
| BCBS | MyBlueHealth | $1,207.78 | — |
| BCBS | BAV | $1,333.34 | — |
| BCBS | HMO | $1,668.17 | — |
| BCBS | EPOSOA | $1,787.75 | — |
| BCBS | PPO | $1,907.33 | — |
| Oscar | MGMCR | $3,222.74 | — |
| Devoted Health | MGMCR | $3,288.51 | — |
| Humana | MedicareAdvantageHMO | $3,288.51 | — |
| Humana | MedicareAdvantagePPOPFFS | $3,288.51 | — |
| United | AllPayerAppendix | $3,288.51 | — |
| United | NarrowNetworkIndivExchange | $3,288.51 | — |
| United | SmallGroup | $3,288.51 | — |
| Cigna HealthSpring | MCRHMO | $3,288.51 | — |
| Cigna HealthSpring | MCRPPO | $3,288.51 | — |
| Cigna HealthSpring | MCRSNP | $3,288.51 | — |
| Cigna HealthSpring | PFFS | $3,288.51 | — |
| Cigna HealthSpring | MMP | $3,288.51 | — |
| BCBS | MCRPPO | $3,288.51 | — |
| BCBS | MedicareAdvantageHMO | $3,288.51 | — |
| TriWest Healthcare Alliance | FED | $3,288.51 | — |
| WellMed | MGMCR | $3,304.95 | — |
| Van Lang IPA | MCR | $3,321.40 | — |
| United | MCR | $3,354.28 | — |
| WellCare | POS | $3,387.17 | — |
| Integranet Amerigroup IPA | MCR | $3,387.17 | — |
| WellCare | SNP | $3,387.17 | — |
| WellCare | PPO | $3,387.17 | — |
| WellCare | PFFS | $3,387.17 | — |
| WellCare | MCRHMO | $3,387.17 | — |
| ProCare Advantage | MGMCR | $3,452.94 | — |
| Shared Health | MGMCR | $3,452.94 | — |
| Superior Health Plan | MCRSNP | $3,452.94 | — |
| Superior Health Plan | MCRPPO | $3,452.94 | — |
| Superior Health Plan | PFFS | $3,452.94 | — |
| Superior Health Plan | MCRPOS | $3,452.94 | — |
| Superior Health Plan | MCRHMO | $3,452.94 | — |
| Superior Health Plan | DualEligible | $3,452.94 | — |
| American Health Plan | MGMCR | $3,452.94 | — |
| Provider Partners Health Plan of Texas | PFFS | $3,485.82 | — |
| Provider Partners Health Plan of Texas | PPO | $3,485.82 | — |
| Provider Partners Health Plan of Texas | SNP | $3,485.82 | — |
| Provider Partners Health Plan of Texas | POS | $3,485.82 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $3,485.82 | — |
| Molina | MGMCR | $3,584.48 | — |
| Verda Health Plan | MCR | $4,275.06 | — |
| Community Health Choice | HIX | $4,768.34 | — |
| Superior | ValueHMO | $4,768.34 | — |
| Superior | EPO | $5,097.19 | — |
| Superior | HMO | $5,097.19 | — |
| Molina Healthcare | HIX | $7,070.30 | — |
| Oscar | HIX | $9,503.79 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
So gsap cll fr mcrstl ins at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON WEST | HOUSTON | not published | $492.20 – $6,905.87 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $502.24 – $4,768.34 |
| Adventhealth Rollins Brook | Lampasas | not published | $2,301.95 – $2,959.66 |
| Texas Health Presbyterian Hospital Allen | Allen | not published | $502.24 – $542.42 |
| CHRISTUS Children's Hospital | San Antonio | not published | $597.91 – $627.81 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $492.20 – $6,905.87 |
| Covenant Children's Hospital | Lubbock | not published | $2,606.89 – $2,606.89 |
| HCA HOUSTON CONROE | CONROE | not published | $492.20 – $6,905.87 |